CHESTERTON FAMILY DENTAL (NPI# 1295219368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295219368 |
| Entity Type | Organization |
| Organization Name | CHESTERTON FAMILY DENTAL |
| Practice Address |
751 E Porter Ave Ste 1 Chesterton IN 46304-9111 |
| Practice Telephone | 2199299289 |
| Mailing Telephone | 2199299289 |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |
| Authorized Official Name | DR. MYSTIE PIETERS (DENTIST) |
| Authorized Official Telephone | 2199299289 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Chesterton Family Dental | Doing Business As Name - Organization |
| Street Address |
751 E PORTER AVE STE 1 |
| City | CHESTERTON |
| State | IN |
| Zip Code | 46304-9111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184274268 | Trinity Healthcare Inc. | Occupational Therapist | 2300 Village Point, Chesterton, IN 46304 | 2019-09-19 |
| 1962987206 | Kara Polus | Physical Therapy Assistant | 1595 S Calumet Rd Suite 3, Chesterton, IN 46304 | 2018-10-02 |
| 1275024481 | Karson Rice | Developmental Therapist | 1595 S Calumet Rd, Suite 3, Chesterton, IN 46304 | 2018-05-23 |
| 1720527765 | Alina Broski I | Occupational Therapy Assistant | 1120 S. Calument Road, Suite 3, Chesterton, IN 46304 | 2017-02-22 |
| 1538612015 | Muhammad Ziad Souqiyyeh | Internal Medicine | 3100 Village Pt Ste 102, Chesterton, IN 46304 | 2016-08-01 |
| 1942671656 | Samantha Stremich | Psychologist | 1496 Pope Ct # 2, Chesterton, MI 46304 | 2015-10-08 |
| 1669852299 | Deborah Joan Krause | Physical Therapy Assistant | 780 Dickinson Rd., Addison Pointe Health & Rehab Center, Chesterton, IN 46304 | 2015-06-09 |
| 1538462338 | Sunil Patel Md. P.C. | Internal Medicine | 1140 S. Calumet Road, Suite #2, Chesterton, IN 46304 | 2010-12-16 |
| 1629301981 | Lindsay Allison Munden | Nurse Practitioner | 505 County Road 1100 North, Chesterton, IN 46304 | 2009-09-17 |
| 1881851509 | Total Renal Care Inc | Clinic/Center | 711 Plaza Dr, Ste 6, Chesterton, IN 46304 | 2008-05-20 |
| Find all providers in zip 46304 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386170595 | Arch Complete Family Dental Spa Inc | Clinic/Center | 175-8 E Us Highway 20, Chesterton, IN 46304-9501 | 2017-05-08 |
| 1689055006 | Brian C. Mcgue Dds PC | Clinic/Center | 700 S Calumet Rd, Suite #2, Chesterton, IN 46304-3287 | 2015-06-11 |
| 1366876930 | Arch Complete Family Dentistry Inc | Clinic/Center | 175 E. Us Highway 20, Suite 8, Chesterton, IN 46304-8714 | 2013-08-30 |
| 1306353743 | Complete Family Dental LLC | Clinic/Center | 175-8 E Us Highway 20, Chesterton, IN 46304-9501 | 2018-01-08 |
| 1326278607 | Chesterton Smiles Inc | Clinic/Center | 175 E Us Highway 20, Suite 8, Chesterton, IN 46304 | 2009-07-21 |
| 1558591834 | Dental Affiliates Inc | Clinic/Center | 175 E Us Highway 20, Suite 8, Chesterton, IN 46304 | 2009-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720147 | Ms Vibbert Dds PC | Clinic/Center | 7301 Georgetown Rd Ste 113, Indianapolis, IN 46268-4157 | 2020-11-05 |
| 1508471814 | White River Family Dental and Implant Center | Clinic/Center | 1638 W Smith Valley Rd Ste B, Greenwood, IN 46142-1550 | 2020-09-14 |
| 1669087144 | Babb Dentistry LLC | Clinic/Center | 2229 W Virginia St, Evansville, IN 47712-5214 | 2020-09-11 |
| 1790398451 | Bryant P. Burkett Dds, LLC | Clinic/Center | 5310 Pearl Dr Ste C, Evansville, IN 47712-8105 | 2020-08-24 |
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1831701044 | Tree of Life LLC | Clinic/Center | 311 Florence Ave, Granger, IN 46530-8049 | 2020-08-19 |
| 1568073096 | Fdg Mobile | Clinic/Center | 438 S Emerson Ave Ste 231, Greenwood, IN 46143-1948 | 2020-08-10 |
| 1992315980 | Kaszuba Dental, LLC | Clinic/Center | 1934 45th St, Munster, IN 46321-3917 | 2020-08-04 |
| 1205454014 | Advanced Dental Care of Fortville, LLC | Clinic/Center | 545 Vitality Dr Ste F, Fortville, IN 46040-1373 | 2020-07-08 |
| 1366066375 | Jindal Management LLC | Clinic/Center | 701 N Weinbach Ave Ste 910, Evansville, IN 47711-6607 | 2020-06-05 |
| Find all providers with the same taxonomy | ||||
| City | CHESTERTON |
| Zip Code | 46304 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.